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Medical Claims Adjuster
Job
Tri-State Administrators
Mount Laurel Township, NJ (In Person)
Full-Time
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Job Description
We are a Third-Party Benefits Administration Firm currently recruiting to fill a Medical Claims Adjuster position in our Mt Laurel, NJ office. This position is responsible for processing medical claims for client health plans. The ideal candidate will have 3- 5 years of medical claims processing experience. We offer a professional but family values atmosphere with stability and growth opportunities.
Major Responsibilities include:
- Answer phone calls and assist plan participants with inquires
- Communicate with providers on various claims issues
- Adjudicate medical claims
- Send out inquires and follow up subrogation issues
Qualifications Include:
- Minimum 3 years of medical claims processing experience.
- Working knowledge of ICD.10, CPT, ADA and HIPAA compliance coding
- Ability to determine benefits by reading Benefit Plan Documents which include Summary Plan Description (SPD), Benefit Overview and Collective Bargaining Agreement.
- Ability to stay organized and multi-task in a fast-paced environment.
- Detail oriented
- Developed customer service skills
- Proficient in all Microsoft Office applications .